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J "1 n1fln15r4d[unr.i1]1Iu-r-r rIrrnrrurarr-ciruarrtrrv':ru{ulal:valflo'110! web-based rrqihiarrr:nrfir learning6"ruqru!o.idtrr:arfiunrurirrrrvto.r{rdriunrr-6nur'lpiorrrniurifiiirr,rlo 14i0lr'li0uixllllv0ll:u1lnll!u6jn'lluxl l1l a'ttxll?[nul!lftuflvs]e{n1:n1:!l:uu!{uana0]le tearnrng r: n:r r n-o n oikiqrrxrdrirvr t'utj n{rdld:nnr:or:rlu#r.,,iou,flu^{onrno.rr:n:r'nrrrtrha "l!n4 vlnu[0]:1lr'l'l50ll5u nr't alt11tsojuu!slfl!1]110u't.i]luEalnQv't{dn0[fl0ru.]rrlnlu?rlrn0llrl: udva-.irr nld:!n'rr o! rr.r rrudrrlolv!rvki:nnr:rdror:rrwrunrirfinrrut:hi6lrarur{firirvun nrvlulufiorrialrlirarur:oinrruhiravnrrrlrirturglunrr-n:roninn:ott!turrriurotl:ca'rvfl{ slrr rnru{v'6'o.i nr: web-bd5edlea'nr19 i.r.{uv r.Forvfirv'atu-rnrir'.fi:.nIlii^"trr'Lln-:ot,ln"o,:,rt r!rv:rudltoorl:"arrflr *rinr:flnou:rh#artiuulostolt'rcn'rtou"'urrrrulun{rLdinatri:nnr: flnor:rflrfiorGurrudraur:olirbi{ldirnr:or:rfinl:L'l':uagn:rurirtrtchnt:sr:rrn-on:o.intls draorl:ca'rnlornnr:Eir!rrfl oorhcarvroit6'nr:Ltnrudvr'iirruo Reference (CDC).Prevalence l.Centersfor Disease Controland Prevention ofvisuatimpairmentand seiectedeye dis-eases arnonqpersonsaqed>/=50yearsw:th and with-outdiabetes-United States,2002.I\,4MWR Morb MorlatwktyRe.2004;53:1A69-71. NielsenNV.Prevalence 2.BuchH,VindingT, La Couri\,4, App(eyardM, JensencB, and causesof visuatim pairment and blindness amons9980Scandinavianadults: the Copenhagen CityEye Study.Ophthatmot-oqy 2AA4;111153-61. 3.lditA, CaLiskan D,OcaktanE.The prevalenceof btind-ness and low v]sionin older onset factors:a comrnunity-based diabetesmelLitusand associated study.EurJOphthahno.2004; 14.298345. 4.PardhanS,Gi(christJ,Mahomed.lmpactofageanddurationonsight-threateningretinopathy in SouthAsians and Caucasians attendinga diabeticc(inic.Eye2004; 18:233-40. 5.UKProspective DiabetesStudy(UKPDS) Group.In-tensivebtood-glucose controlwith or in sLrlincomparedwith conventionaL sutfonyturea treatmentand riskofcornplications in patientswith type 2 diabetes(UKPDS 33).tarcet 1998;352:837 53. 6.UKProspective DiabetesStudy(UKPDS) Group.Tishtbtoodpressurecontroland riskof macrovasclrlar in type 2 diabetes:UKPDS38. andmicrovascular comptications BMJ1998; 317:70313. T.Diabetes Controland Complications TriaIResearchcroup. Progression of retinopathywith intensivever sLrsconventional treatmentin the DiabetesControlandComptications Trial. 1995;102:647 61. Ophthalmotogy TreatmentDiabeticRetinopathy S.Earty StLrdyResearchcroup. Earlyphotocoaguiation for ETDRS ReportNumber9. Ophthalmotogy 1991;981766 diabeticretinopa-thy: 85. g.American DiabetesAssociation. Diabeticretinopathy.Diabetes Care2002j25(l):5903.1o.Wild S, RoglicG, GreenA, SicreeR,KingH. Gtobatprevatence of diabetes:estimatesfor the year 2000andprojections for 2030.DiabetesCare2aAq27:1a4153. 10.WiLdS, RogLic G,GreenA, SicreeR,KingH-Gtobalprevalence of diabetes:estimatesfor the year2000andpro.jections for 2030.DiabetesCare2004;27i1047-53. ll.AekptakornW, StolkRP,NeatB,SuriyawongpaisalP, Chongsuvivatwong V, Cheepudomwit S,et at-lt{TERASIA CotLaborative Group.The prevatence andmanagement of diabetesin Thaiaduits: the interna-tional cottaborative studyof cardiovascutar diseaseinAsia.DiabetesCare2003; 26:275863. l2.ChetthakutI Deerochanawong C, suwanwataikorns, Kosachunhanun N, Ngarmukos C, RawdareeP,etal.Thailanddiabetesregistryproject prevatence ofdiabeticretinopathyand associated factorsin type 2diabetesmellitus.J ^,4ed AssocThai2006;89(1):27-36. 13.LinDY,Btumenkranz MS,BrothersR,Digital. Dia-beticScreenins Group(DDSG). The roLeof photography digitatfundus in diabeticretinopathyscreening.Diabetes TechnotTher 1999;1:47741. 14.Lin'r Jl, LaBreeL, NichoLs T, Cardenas l. A comparisonof digitalnonmydriatic fundLrsimaging with stan-dard3tmiltimeter stidesfor diabeticretinopathy. Oph-thaLmology 2000;107:866-70. 15.George LD,HattiwettM, HittR,ALdington 9, LustyJ, DunatanF,et at-A comparisonof djgitat retinatimages and 35 mm colourtransparencies in detectingand gradingdiabeticretinopathy. DiabetMed 199a1$:250-3. 16.FongDS,AiettoL, GardnerTW,KngGL,Btankenship G,Cavatterano JD,et aL.Retinopathy indiabetes.DiabetesCate 2004,27(l):84-7. 17.JavittJC,CannerJK SommerA. Costeffectivenessof currentapproaches to the controtof retinopathyintype1 diabetics. Ophthalmology 1,989; 96255-64. 18.Taytor DJ,FisherJ, Jacob.J,Tooke.JE. The useofdigitalcamerasin a mobileretinalscreening environ-ment.Diabet[4ed 19991 16:680-6. 19.1iHK.Tetemedicine and ophthaLmoLogy. Survophtha(mot 1999;44:61-72. 2o.Gomez-l-ltta F,Rodriguez-Cid Ml, Fernandez Ml,Casanueva FF,GonzatezF,Tome M, et al. Digitatretinat imagesand teleophthalmotogy for detectingandgrading diabeticretinopathy. DiabetesCare2002;25:1384-9. 2l.Ruamviboonsuk P,Wongcumchang N,SurawongsinP, Panyawatananukul E,]lensuwanM. Screening fordiabeticretinopathyin ruralareausingsingte-field,digitat fundusimages.J Med AssocThai2005;88:176-180.
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